Individual
DR. JALAL B ANDRE
Active
Individual
DR. JALAL B ANDRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A107739
CA
2085R0202X
Diagnostic Radiology Physician
Primary
MD60217663
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
390200000X
MONMOUTH
NJ
Enumeration date
07/17/2007
Last updated
06/18/2012
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